Individual
JOSE REVELES SALCEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
16888 NISQUALLI RD STE 200-4, VICTORVILLE, CA 92395-9703
(909) 921-8953
Mailing address
16888 NISQUALLI RD STE 200-4, VICTORVILLE, CA 92395-9703
(760) 502-8020
(760) 841-4208
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95036807
CA
Other
Enumeration date
08/22/2025
Last updated
02/05/2026
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